A Systematic Review of Total Knee Arthroplasty in Neurologic Conditions: Survivorship, Complications, and Surgical Considerations

Total Hip Arthroplasty in Patients With Neurological Conditions: A Systematic Review

“…MS is the leading cause of nontraumatic disability in young adults, affecting approximately 400,000 in the United States alone [ 48 ]. Neuromuscular manifestations are common and vary according to the location affected [ 4 ]. These may include rigidity, spasticity, weakness, contractures, and functional limitation, with increased risk of falls and poor postural control [ 49 ].…”

“…Patient factors associated with a successful recovery include a high level of preoperative physical function and balanced muscular strength [ 2 ]. Patients with neurological conditions pose unique surgical challenges, including contractures, paresis, and muscular imbalance, [ 3 ] ranging from flaccidity in conditions affecting the lower motor neurons to spasticity in those affecting the upper motor neurons [ 4 ]. Dislocation and aseptic loosening concerns led to a historical reluctance from surgeons to perform THA for patients with neurological conditions, with many proceeding towards salvage procedures in the primary instance such as arthrodesis or resection arthroplasty [ [5] , [6] , [7] , [8] ].…”

Analysis of Risk Factors for High-Risk Patients Undergoing Total Joint Arthroplasty

“…Furthermore, Pomeroy et al. found an association between neurologic disorders and increased complication rates for TKA [ 20 ]. The data presented in the current study support the literature in concluding mental health/drug use, cardiac, and neurologic conditions are independent predictors of increased LOS, discharge to SNF, and 30-day ED returns or readmissions in high-risk TJA patients.…”

Artroplastia de rodilla en pacientes con poliomielitis y déficit de extensores. Revisión y experiencia en nueve casos

“…Estas capacidades mejoraron claramente en todos los pacientes de la cohorte, y coincide con los resultados comunicados en los pocos estudios científicos publicados sobre el tema. [6][7][8][9] La condición de poder elevar la pierna contra la gravedad y alguna resistencia marca un límite entre dos grupos claramente diferenciados. Quienes no tienen esta condición requieren implantes constreñidos (bisagra rotatoria) y gestos quirúrgicos específicos, como intentar lograr una brecha en extensión apretada para limitar el recurvatum.…”